This is a strong fit if you know PBM benefits configuration cold and you like being the person who keeps plan builds clean, accurate, and launch-ready. You’ll own complex configuration work, support implementations, and help improve how SmithRx builds and maintains pharmacy benefits at scale.
About SmithRx
SmithRx is a venture-backed health tech company transforming pharmacy benefits management (PBM) with modern technology, transparency, and high-quality service. Their mission is to make healthcare more affordable and accessible while building a collaborative, values-driven culture.
Schedule
- Full-time, remote
- Fast-paced environment supporting implementations and ongoing plan operations
- Cross-functional work with clinical, engineering, member support, and customer success teams
What You’ll Do
- Gather client benefit plan requirements and build/maintain pharmacy benefit plans across multiple platforms
- Own benefit configuration structure and data integrity for assigned accounts
- Lead process improvement efforts to increase efficiency and quality
- Support escalations and complex configuration requests across the team
- Create and maintain prior authorization and step therapy rules
- Transition (grandfather) new clients and update formularies based on clinical team direction
- Communicate project status, escalate issues appropriately, and drive workflow improvements
- Partner with member support and customer success to resolve benefit-related inquiries quickly
- Troubleshoot claims adjudication issues and support accurate processing
- Collaborate with engineers to improve system automation and enhancements
- Coordinate with external vendors to surface issues and track work requests
- Support implementations: go-live testing, post-launch audits, and ongoing configuration accuracy checks
What You Need
- Bachelor’s degree or equivalent work experience in healthcare and/or PBM
- 6+ years of benefits configuration experience in healthcare or health insurance
- Advanced Excel skills and strong analytical ability
- Strong communication skills (written, calls, and stakeholder-facing conversations)
- Self-starter who makes good decisions, solves problems creatively, and delivers consistently
- Execution-focused, solutions-oriented, efficiency-driven mindset
- Adaptable and steady under pressure in a fast-moving tech environment
Benefits
- Medical, pharmacy, dental, vision
- Life + AD&D insurance
- Flexible Spending Accounts
- 401(k)
- Short-term and long-term disability
- Discretionary PTO
- 12 paid holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development + training
- Well-stocked kitchens in office locations
Quick reality check: this isn’t “just configuration.” You’re in the middle of implementation timelines, claims troubleshooting, and cross-team coordination. If you like being the calm expert who fixes what’s broken and prevents the next break, you’ll cook here.
Happy Hunting,
~Two Chicks…